Individual
JENNIFER L MASTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
1414 MACARTHUR RD, MADISON, WI 53714-1318
(608) 242-8334
Mailing address
1414 MACARTHUR RD, MADISON, WI 53714-1318
(608) 242-8334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6649-125
WI
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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